Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
(New Admission Diploma in Nautical Science )


  Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Aniket Kansal
Mother's Name: Suminder Kaur
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Jul 2001 Nationality: Indian
Place of Birth: YamunaNagar Personal Identification Mark: Cut mark on right elbow
Blood Group: B + Address for Communication:,Railway kalka colony, Jagadhri Workshop YamunaNagar,Haryana
State: Haryana Country: India
Pin: 135002 City/District: YamunaNagar
Mobile no: 9991232077 Telephone No. with STD code: 017329991232077
Aadhar Card No:280878738105 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Kamal Jeet Relationship with candidate: Father
Parents Date of Birth: 25 Apr 1967 Parent's/Guardian's Occupation/Designation: Government Employee
Office Address:
Address: SSE TL, Jagadhri Workshop YamunaNagar, Haryana
Country: India State: Haryana
City/District: YamunaNagar Pin: 135002
Tel: 017329991232077 Mobile no.: 9991232077
Fax: 017329468276021 Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: 03820-Mukand Lal Pub Sch Sarojini Cly Yamuna Nagar Hry School: Mukand Lal Public School
City: YamunaNagar City: Yamuna Nagar
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Centre code:
  Address of School/College: Sarojini Colony,Yamuna Nagar,Haryana
  Pin: 135002
  Contact Nos: 9991232077
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded School leaving certificate not uploaded Class XII admit card not uploaded Class XII marksheet not uploaded

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________

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